ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN Questions
Extract:
Question 1 of 5
A mother brings her child into the pediatrician's office for a follow up appointment and voices concern that her child has started urinating more frequently and is constantly hungry and thirsty. The nurse suspects:
Correct Answer: C
Rationale: The correct answer is C: Diabetes mellitus. The symptoms of increased urination, hunger, and thirst are classic signs of diabetes mellitus. In diabetes, the body cannot properly regulate blood sugar levels, leading to excessive urination (as the body tries to get rid of excess sugar), increased hunger (as cells are not getting enough glucose for energy), and increased thirst (due to dehydration from frequent urination). Hypoglycemia (choice
A) would present with low blood sugar symptoms, not high blood sugar symptoms. Huntington disease (choice
B) is a genetic disorder affecting the brain, not related to the symptoms described. Phenylketonuria (choice
D) is a metabolic disorder related to the inability to break down phenylalanine, not associated with the symptoms described.
Question 2 of 5
A complication of hemophilia is:
Correct Answer: B
Rationale: The correct answer is B: Hemoarthritis. Hemophilia is a bleeding disorder where blood does not clot properly. Hemoarthritis is a common complication, characterized by bleeding into joints leading to pain, swelling, and limited range of motion. Mucositis (
A) is inflammation of mucous membranes, not specific to hemophilia. Thrombocytopenia (
C) is a low platelet count, not directly related to hemophilia. Acute Chest Syndrome (
D) is a complication of sickle cell disease, not hemophilia.
Question 3 of 5
Which actions by the school nurse is important in the prevention of rheumatic fever?
Correct Answer: C
Rationale: The correct answer is C: Refer children with sore throats for throat cultures. This is important in preventing rheumatic fever as it helps identify and treat streptococcal infections promptly, which can lead to rheumatic fever if left untreated. Encouraging routine cholesterol screenings (
A) and conducting routine blood pressure screenings (
B) are not directly related to preventing rheumatic fever. Recommending aspirin instead of acetaminophen (
D) can actually be harmful in children with viral infections, increasing the risk of Reye's syndrome.
Question 4 of 5
A child is admitted with possible coarctation of the aorta. The admitting nurse reviews the admitting orders for the child and should question which of the following orders?
Correct Answer: D
Rationale: The correct answer is D because monitoring vital signs upon admission and then daily is inadequate for a child with possible coarctation of the aorta. Coarctation of the aorta can lead to significant changes in blood pressure and circulation. Close monitoring is crucial to detect any sudden changes that may indicate complications. Blood pressure should be monitored frequently, especially after any interventions or changes in condition. Regular monitoring of vital signs is essential for early detection of potential issues.
Choices A, B, and C are all important aspects of care for this child and should not be questioned.
Question 5 of 5
The nurse is caring for a child with frostbite would expect the patient to display:
Correct Answer: B
Rationale: The correct answer is B because blisters appearing 24 to 48 hours after rewarming is a common symptom of frostbite. This occurs due to damage to the blood vessels and tissues. A: Redness and swelling are more indicative of mild frostbite. C: Itching and burning are not typical symptoms of frostbite. D: Fever is not a common symptom of frostbite.